Despite an advisory committee meeting that left observers confident Merck & Co. Inc.’s Vytorin (ezetimibe/simvastatin) and Zetia (ezetimibe) used in combination with simvastatin would be approved to reduce the risk of major cardiovascular events in at least patients with pre-dialysis chronic kidney disease, FDA denied the application altogether, saying it has questions about the relative contribution of Vytorin’s component drugs to efficacy results.
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